RxSense Home Page

Cloud-based, secure, scalable adjudication

—with no downtime?

 

Makes Sense. 

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Whether you’re an established Pharmacy Benefit Manager or just starting out, RxSense will transform your business.

And you won't find us competing with you in the marketplace

Business Plan

Transformative Model

We are specifically structured to support our client's growth by providing pass-through pricing,  visibility into their business, and complete flexibility to choose everything from a full- to self-service model, at their own pace.

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Interoperability

Our platforms, RxAgile® and RxIQ®, are built for interoperability across and between legacy and other healthcare systems via APIs, providing clients the access they need to vital health information essential in supporting clinical processes.

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Service Model

Our client-centered, ongoing service approach means you have an entire team working to ensure your success. From the strategic to the tactical, our service model is unrivaled in excellence and customer satisfaction

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We're a technology partner, not just another vendor. We give you the freedom to operate and integrate just the services and systems you need to support your business model. 

Our approach to supporting private-label customers is entirely flexible. Some PBMs are just beginning their journey looking for everything to get to market faster. Other PBMs are mature businesses, just needing a more advanced technology, to help them be more efficient and leverage the scalability of a cloud-based platform.

 

Our business accelerators and fresh approach are truly differentiating—define your own pharmacy ecosystem (no required partners or vendors), be as self-service as you’d like, all on your own timeline. 

  • Full Service - Self Service

  • Transparency

  • Bring Your Own Partners

  • Optional Pre-contracted Partners (Mail, Specialty)

  • No Black-Box Pricing

  • Pass-through Cost of Goods

  • Flexible Service Levels

PBM Adjudication

RxAgile is our advanced cloud-based platform for the transparent, comprehensive adjudication and administration of pharmacy claims.

Business Intelligence

RxIQ is our real-time analytics platform that puts in-depth analysis on your dashboard and insights you can act on and deploy immediately. 

Business Accelerators

Operationalized functionalitysuch as pre-contracted partners or automated analysis – designed to expedite your market entry or modernization initiatives.

Superior Support

Our industry-leading service model delivers the right mix of technological and operational support, what and when. you need it, 24/7/365.

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Along with its integrated analytics platform with real-time data access.

RxIQ empowers you with total domination of your data and the automation of analysis of both your core plan and financial data. Improve business outcomes and optimize your members’ cost experience and connected health behaviors. And it’s all at your fingertips, revolutionary for its real-time data access and pinpoint accuracy.

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It all starts with a great adjudication
platform that just works.

RxAgile is our common-sense benefits management platform built specifically to provide an absolutely transparent and comprehensive adjudication engine that’s simply secure, reliable, scalable, and efficient. And you can log in to verify everything yourself,  make the plan changes you need, all on your own timetable.

Our Integrated Technology Solution

RxAgile (for claims adjudication) and RxIQ (for in-depth analytics) put you in complete control of your pharmacy benefits management – in real-time, all the time – all in your own brand.
  • Intuitive and user friendly
  • API-based interoperability
  • Certified secure, stable, auto-scalable
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Regardless of your current pharmacy benefits business model, we have the platform solutions and expertise to power your growth intelligently. ​​

 

Transformative Model

Transparency, control, flexibility are all long over due. We got here as fast as we could.

 

Interoperability

This is table stakes for us. Find out just how well we do this.

 

Service Model

We're here for you. In the way we wished our PBM was there for us and wasn't.

 

RxAgile

Dig into more details about the claims adjudication engine that could.

 

Business Accelerators

Whether you're new or been there, we've got an accelerator for you.

 

Security & Continuity

We're rather proud of all the badges we've earned and the downtime we haven't had.

 

RxIQ

Beyond reports, data, and analysis, find out what else RxIQ can do.

 

Strategies

Our recommendations leverage automation and machine learning.

 

Who We Are

Learn more about our leadership and why we decided to build these platforms.